Optimizing Stability in Femoral Neck Fracture Fixation
Authors:
- Ye YeYYYe Ye
- Jiandong HaoJHJiandong Hao
- Cyril MauffreyCMCyril Mauffrey
- E. Mark HammerbergEHE. Mark Hammerberg
- Philip F. StahelPSPhilip F. Stahel
- David J. HakDHDavid J. Hak
- 1 October 2015
- journal article
- review article
- Published by SLACK, Inc. in Orthopedics
- Vol. 38 (10) , 625-630
Abstract
Optimizing stability of femoral neck fracture fixation is important in obtaining a successful outcome. The mechanical problems and strategies for achieving optimal stability differ depending on patients’ age and degree of osteoporosis. Femoral neck fractures in younger adults usually result from high-energy trauma and have a vertical fracture pattern. Strategies for optimizing fixation stability in this group include placing additional screws at right angles to the fracture plane and medial buttress plate augmentation. In elderly patients, screw position relative to the intact cortical femoral neck bone is of critical importance. Additional strategies for optimizing fixation stability in this group include the concept of length stable fixation, use of adjunctive calcium phosphate cement, and use of novel fixed angle fixation implants. [ Orthopedics. 2015; 38(10):625–630.]Keywords
This publication has 37 references indexed in Scilit:
- Clinical outcome after undisplaced femoral neck fracturesActa Orthopaedica, 2011
- A Biomechanical Comparison of Two Triple-Screw Methods for Femoral Neck Fracture Fixation in a Synthetic Bone ModelJournal of Trauma: Injury, Infection & Critical Care, 2010
- Predictable Healing of Femoral Neck Fractures Treated With Intraoperative Compression and Length-Stable ImplantsJournal of Trauma: Injury, Infection & Critical Care, 2010
- Fractures of the hip and osteoporosisThe Journal of Bone and Joint Surgery. British volume, 2009
- Femoral Neck Shortening After Fracture Fixation With Multiple Cancellous Screws: Incidence and Effect on FunctionJournal of Trauma: Injury, Infection & Critical Care, 2008
- Internal fixation compared with total hip replacement for displaced femoral neck fractures in the elderlyThe Journal of Bone and Joint Surgery. British volume, 2003
- Anatomy of the medial femoral circumflex artery and its surgical implicationsThe Journal of Bone and Joint Surgery. British volume, 2000
- Quality of Reduction and Cortical Screw Support in Femoral Neck Fractures An Analysis of 72 Fractures with a New Computerized Measuring MethodJournal of Orthopaedic Trauma, 1995
- Cortical screw support in femoral neck fractures: A radiographic analysis of 87 fractures with a new mensuration techniqueActa Orthopaedica, 1993
- Screw positions in femoral neck fractures: Comparison of two different screw positions in cadaversActa Orthopaedica, 1993